Provider Demographics
NPI:1659382612
Name:TUCHMANN, LESLIE (CNS)
Entity Type:Individual
Prefix:
First Name:LESLIE
Middle Name:
Last Name:TUCHMANN
Suffix:
Gender:F
Credentials:CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6100 UPTOWN BLVD NE STE 650
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87110-4186
Mailing Address - Country:US
Mailing Address - Phone:505-340-0700
Mailing Address - Fax:
Practice Address - Street 1:KASEMAN HOSPITAL PALLIATIVE CARE
Practice Address - Street 2:8300 CONSTITUTION AVENUE NE
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87110
Practice Address - Country:US
Practice Address - Phone:505-559-1133
Practice Address - Fax:505-724-8995
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2013-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMCNS00188364SA2200X, 364S00000X
NMCNS00212176364SH1100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health
No364SH1100XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistHolistic
No364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM6056261Medicaid
N/AMedicare PIN